FRCPath Haem Part 1 MCQ-Haemostasis 399

A 28yr-old pt at 22 wks gestation with congenital dysfibrinogenemia presents with DVT. She reports mild vaginal bleeding. Fibrinogen activity 0.7g/L. Next Step?

• No anticoagulation due to bleeding
• Start therapeutic LMWH
• Give fibrinogen concentrate (Target 1.5g/L)
• Start both therapeutic LMWH and fibrinogen concentrate

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